孙氏镜与输尿管硬镜在L3-L4水平输尿管上段结石治疗中的比较

516229 广东省惠州市仲恺高新区人民医院泌尿外科1;510630 广州,中山大学附属第三医院泌尿外科2

输尿管镜; 输尿管结石; 钬激光

Comparative analysis of Sun's ureteroscope and rigid ureteroscope for upper ureteral calculi between 3 and 4 lumbar vertebrae
He Feng1, Wu Haibo1, Zhao Zhixiang1, Zhu Junyi1, Liu Zhihao1, Zhong Longtao1, Wu Jieying2.

1Department of Urology, People's Hospital of Huizhou Zhongkai High Tech Zone, Huizhou 516229, China; 2Department of Urology, the Third Affiliated Hospital of Sun Yat-sen University, Guangzhou 510630, China.

Ureteroscope; Ureteral calculi; Holmium laser

DOI: 10.3877/cma.j.issn.1674-3253.2017.03.010

备注

目的 对比分析末端可弯输尿管镜(孙氏镜)与输尿管硬镜在治疗腰3-4(L3-L4)水平输尿管上段结石中的优势与缺陷。方法 回顾性分析2014 年1 月至2016 年10 月在惠州仲恺高新区人民医院接受治疗的L3-L4 水平输尿管上段单发结石患者96 例,观察组和对照组各48 例,观察组采用孙氏镜治疗,对照组采用输尿管硬镜碎石,比较两种治疗方式在手术时间、一期结石清除率、手术并发症、术后住院时间及住院总费用情况。结果 观察组在一期结石清除率方面明显优于对照组,差异有统计学意义(P<0.05),术后住院时间及住院总费用观察组少于对照组,差异有统计学意义(P<0.05),但在手术时间上观察组高于对照组,两组对比差异有统计学意义(P<0.05),而在手术并发症方面,两组对比差异无统计学意义(P>0.05)。结论 孙氏镜治疗输尿管上段结石具有可靠性、安全性高、并发症少的优势,可作为输尿管上段结石治疗的另一种可靠方法。
Objective To compare the advantages and disadvantages of Sun's ureteroscope and rigid ureteroscope for upper ureteral calculi between 3 and 4 lumbar vertebrae. Methods From January 2014 to October 2016, 96 patients with the upper ureteral calculi between 3 and 4 lumbar vertebrae were divided into control group and observation group (48 cases in each group). The patients in observation group were treated with Sun's ureteroscope and the Patients in control group were treated with rigid ureteroscope. The operative time, stone-free rate, postoperative complication rate, postoperative hospital stay, hospitalization expenses in the two groups were compared. Results The stone-free rate in observation group was better than that in control group (P<0.05). The postoperative hospital stay and hospitalization expenses in observation group were shorter and lower than that in control group (P<0.05). The operative time in observation group is more longer than that in control group (P<0.05). The postoperative complication rates in the two groups weren't different significantly (P>0.05). Conclusion s Sun's ureteroscope has the advantages of safety and less postoperative complications, is a reliable approach for management of upper ureteral calculi between 3 and 4 lumbar vertebrae.
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